[Combined application of classical acupuncture, su-jok and craniopuncture in the acute period of ischemic stroke]. / Sochetannoe primenenie klassicheskoi akupunktury, su-dzhok i kraniopunktury v ostrom periode ishemicheskogo insul'ta.

The disability of post-stroke patients is one of the most important problems of the modern medical community requiring the improvement of existing rehabilitation technologies through the wider use of non-drug treatment methods among which the most accessible are various modifications of reflexotherapy. OBJECTIVE: To evaluate the effectiveness of the combined reflexology technique, including the combined use of classical acupuncture, su-jok and cranial acupuncture in the early rehabilitation of patients after ischemic stroke. MATERIAL AND METHODS: Examination and course of early neurorehabilitation were carried out in 80 patients aged 47-78 years. Effectiveness evaluation of the different methods of reflexotherapy was carried out in 4 groups (20 patients each) comparable by age, gender and severity of stroke. In the main group the basic rehabilitation complex was supplemented by the combined use of classical, cranial acupuncture (with symmetrical stimulation of 7 main zones) and su-jok. Patients of the 1st comparison group additionally underwent only su-jok-therapy, the 2nd group - corporal acupuncture procedures in combination with cranial acupuncture, the 3rd group - the basic complex of rehabilitation without the inclusion of reflexotherapy. RESULTS: After 2 weeks' treatment in patients of the main group the regression of neurological symptoms according to the NIHSS scale was 5.3 points on average (76%, p<0.001) and the Bartel index increased by 29.8 points (44.9%, p<0.001). An improvement in the psycho-emotional state appeared by decreased depression level on the Beck scale by 6.9 points on average (42%, p<0.05) and reactive anxiety by 12 points (35.7%, p<0.05). The indicators' improvement in the first two comparison groups was also significant across all scales but less pronounced than in the main group. The lowest values of the studied indicators were obtained in the 3rd comparison group. CONCLUSION: Improvement of neurorehabilitation technologies using combined techniques of reflexotherapy in the acute period of ischemic stroke is characterized by high clinical effectiveness that contributing to the regression of neurological symptoms and improvement of the psycho-emotional status of post-stroke patients which has a beneficial effect on their adaptation to the daily life.

[Acupuncture as a factor of correction of «final points¼ and improving the quality of life at the stage of rehabilitation of patients with ischemic stroke]. / Refleksoterapiya kak faktor korrektsii «konechnykh tochek¼ i uluchsheniya kachestva zhizni na etape reabilitatsii patsientov, perenesshikh ishemicheskii insul't.

All parameters of the quality of life of patients after cerebral stroke are reduced. There is relatively little information about the impact of stroke and the features of rehabilitation technologies in the acute period on the quality of life of patients in the period of residual events. AIM: The study of quality of life indicators for patients who have suffered an ischemic stroke after three years from the onset of the condition, as well as the incidence of recurrent strokes and mortality in the residual period, depending on the rehabilitation methods in the acute period. MATERIAL AND METHODS: In order to identify the frequency of recurrent strokes and the mortality rate in the post-stroke period, a three-year prospective observation of 330 patients (220 patients of the main group, whose early rehabilitation was optimized using various methods of reflexotherapy, and 110 patients of the comparison group who underwent traditional pharmacotherapy in combination with physiotherapy and Exercise therapy) was performed. To study the quality of life (using the MOS SF-36 questionnaire), 140 people from the main group and 40 from the comparison group were selected by random sampling. RESULTS: The main group showed a lower incidence of recurrent stroke episodes (3.2%) and mortality (1.8%) compared with the comparison group (12.7 and 13.6%, respectively). Comparison of quality of life indicators in the studied groups revealed higher values for all subscales of the MOS SF-36 questionnaire in the group of patients who received reflexotherapy in the acute period of ischemic stroke, and for several subscales, the differences were statistically significant: in the acute period, by subscales RP (p<0.05), GH (p<0.05), VT (p<0.05), SF (p<0.05), RE (p<0.05), MH (p<0.05), after three years - by subscales PF (p<0.05), GH (p<0.05), VT (p<0.01) and MH (p<0.05). CONCLUSIONS: Thus, optimization of early rehabilitation by including from the first days reflexotherapy methods helps to improve the indicators of both the physical and mental components of the patients' health not only in the acute but also in the long term, and also helps to reduce the frequency of repeated strokes and the mortality rate in the post-stroke period.

[Complex use of naphthalane and nonselective chromotherapy in gonarthrosis treatment in rolling stock workers].

Complex treatment using naphthalane applications with nonselective chromotherapy covered 64 engine operators of locomotive crews, aged 40-69 years, having 1-3 stage knee osteoarthrosis. Findings are that optimized treatment schedules effectively reduce intensity of pain, improve functional state of the joints involved, increase life quality of the patients, have no side effects. Comparative analysis of the treatment results showed that efficiency of combined naphthalane and nonselective chromotherapy exceeds isolated naphthalane effects.

[Dynamics of vegetative indicators induced by low-frequency magnetotherapy and EHF-puncture in hypertensive workers exposed to vibration]. / Dinamika vegetativnykh pokazatelei u rabochikh vibroopasnykh professiii s arterial'noi gipertoniei pod vliianiem nizkochastotnoi magnitoterapii i KVCh-punktury.

Low-frequency magnetic fields and EHF-therapy have been used in correction of autonomic homeostasis in workers exposed to vibration for different periods of time. The workers suffered from early arterial hypertension. Vegetative status and central hemodynamics improved best in workers exposed to vibration for less than 5 years. If the exposure was 6-15 years, a positive trend occurred in the tension of regulatory mechanisms. Workers with long exposure to vibration suffering from vagotonia showed an inadequate response of the autonomic parameters to treatment. This necessitates enhancement of therapeutic measures with medicines.

[Influence of low-frequency magnetotherapy and HF-puncture on the heart rhythm in hypertensive workers exposed to vibration]. / Vliianie nizkochastotnoi magnitoterapii i KVCH-punktury na serdechnyi ritm rabochikh vibroopasnykh professii s arterial'noi gipertoniei.

The authors present results concerning use of low-frequency magnetic fields and HF-therapy for correction of vegetative homeostasis in workers with variable length of service, exposed to vibration, having early forms of arterial hypertension. The most positive changes of vegetative status and central hemodynamics are seen in workers with low length of service.

[The use of low-frequency magnetotherapy and EHF puncture in the combined treatment of arterial hypertension in vibration-induced disease]. / Primenenie nizkochastotnoi magnitoterapii i KVCh-punktury v kompleksnom lechenii arterial'noi gipertenzii pri vibratsionnoi bolezni.

Combination of EHF therapy + magnetotherapy + drugs results in faster and persistent hypotensive and analgetic effect compared to standard drug therapy, potentiates action of vascular drugs on cerebral and peripheral circulation, reduces dose of hypotensive drugs in patients with arterial hypertension and vibration disease.

[Evaluation of the effectiveness of the program of primary prevention of arterial hypertension at an industrial plant based on a prospective epidemiological study]. / Effektivnost' programmy pervichnoi profilaktiki arterial'noi gipertonii na promyshlennom predpriiatii po dannym prospektivnogo épidemiologicheskogo issledovaniia.

Whether the primary arterial hypertension prevention programme can be applied among employees of a Novosibirsk industrial enterprise within the framework of the second stage of the USSR Cooperative Study of Arterial Hypertension Control, is studied. For this, the authors used sodium-restricted diet concurrent with non-drug therapy (physio-, balneo-, reflexotherapy and acupuncture), and active sanitary education. The 2-year prospective follow-up showed a sufficiently high efficiency of health measures: the incidence of borderline hypertension was reduced by 10.5% at the end of the study, blood pressures could be maintained at the level of the borderline and subnormal values in most patients with persistent hypertension, the patients at risk developed no persistent hypertension, cases. In a 20% blind sample from the matched population, the changes in the frequency of various blood pressures were insignificant during this period.